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Area of Science:

  • Qualitative Health Research
  • Patient Experience Studies
  • Emergency Medicine

Background:

  • Boarder patients, those awaiting inpatient beds in emergency departments (EDs), represent a significant challenge in healthcare systems.
  • Understanding the lived experience of these patients is crucial for improving care quality and operational efficiency.

Purpose of the Study:

  • To qualitatively explore and understand the patient experience of being a boarder in an urban teaching hospital's emergency department.
  • To identify key themes and factors contributing to the boarder patient experience.

Main Methods:

  • A qualitative study was conducted between March and August 2012.
  • Semistructured interviews with 18 boarder patients in an urban, teaching hospital ED.
  • Thematic analysis was employed until thematic saturation was achieved.

Main Results:

  • Waiting was central to the boarder patient experience, often described as 'terrible'.
  • Key themes included lack of communication, patient frustration, and a differentiation between waiting and actual medical care.
  • The average age of participants was 62.3 years.

Conclusions:

  • Being a boarder patient is primarily defined by a waiting experience marked by poor communication and frustration.
  • Patients may perceive the quality of medical care differently from their experience of waiting for an inpatient bed.
  • Findings support the need to eliminate the practice of emergency department boarding to improve patient care and satisfaction.